ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2019
Peritonsillar abscess is frequently accompanied by sepsis symptoms.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 14 citations in OpenAlex.
- Tonsillectomy compared with conservative management in patients over 16 years with recurrent sore throat: the NATTINA RCT and economic evaluation.Health technology assessment (Winchester, England) · 2023Trial
- Histology of Minor Salivary Glands in Tonsillar Diseases.Laryngoscope investigative otolaryngology · 2026Article
- Comparative Clinical Outcomes of Needle Aspiration and Incision & Drainage in Peritonsillar Abscess.Journal of clinical medicine · 2026Article
- Comorbidities and Complications in Adult Peritonsillar Abscess Tonsillectomy Patients.International archives of otorhinolaryngology · 2025Article
- Diagnosis of Peritonsillar Abscess-A Prospective Study Comparing Clinical with CT Findings in 133 Consecutive Patients.Diagnostics (Basel, Switzerland) · 2025Article
- Unveiling the etiology of peritonsillar abscess using next generation sequencing.Annals of clinical microbiology and antimicrobials · 2023Article
- Effect of erythritol and xylitol on Streptococcus pyogenes causing peritonsillar abscesses.Scientific reports · 2021Article
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
purposeTo evaluate how many patients with peritonsillar abscess (PTA) fulfill sepsis criteria and if there is any difference in risk factors and treatment results between patients with and without sepsis symptoms. We also aimed to evaluate the utility of several clinical and laboratory markers for diagnosing PTA.
methodsStudy group consisted of 92 patients with PTA undergoing bilateral emergency tonsillectomy. Blood samples, pus samples and clinical data were collected. Patients were evaluated for sepsis criteria based on 2001 International Sepsis Definitions Conference.
resultsSepsis diagnostic criteria were fulfilled in half of patients (51.1%). Smokers (p = 0.016) and patients who had not received antibiotic treatment (p = 0.003) had more sepsis symptoms. Procalcitonin levels were moderate and there was no difference between the groups. In majority of the patients, the pus samples contained undetectable or mild levels of amylase while 12 patients had pus amylase at least twice higher than in blood serum and among them, the levels were remarkably high in 9 patients.
conclusionHalf of the patients with PTA meet the diagnostic criteria for sepsis. The risk factors for the latter include current smoking and not receiving antibiotic treatment before hospitalization. PTA treatment outcome does not differ between the patients with and without sepsis clinical picture in case of surgical treatment. C-reactive protein appears to be better diagnostic marker for PTA than procalcitonin. A portion of the PTA patients have remarkably high amylase level in the pus indicating possible association with Weber's salivary glands infection.
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